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NPI Code Detail

MEDICARE: DR. GREGORY A. LANDAU DC

MEDICARE:  DR. GREGORY A. LANDAU  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1055AZ

General Provider Information

NPI Number : 1275672412
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY A. LANDAU DC
Provider Business Mailing Address
First Line : 10304 N HAYDEN RD
Second Line : SUITE 5
City : SCOTTSDALE
State : AZ
Zip : 85258-1217
Country : US
Telephone Number : 480-948-6020
Fax Number : 480-948-0250
Provider Business Practice Location Address
First Line : 10304 N HAYDEN RD
Second Line : SUITE 5
City : SCOTTSDALE
State : AZ
Zip : 85258-1217
Country : US
Telephone Number : 480-948-6020
Fax Number : 480-948-0250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 07/08/2007

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Directions to “ DR. GREGORY A. LANDAU DC” Practice Location

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